<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>Saisie de l'adresse d'envoi</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<script language="javascript">
function ctrl_champs() {
  if (document.commande.nomfx.value   == '' ||
      (document.commande.adr1f.value  == '' &&
       document.commande.adr2f.value == '' &&
       docucent.commande.adr3f.value == '') ||
      document.commande.localf.value == '') {
     alert("<!--WSTAG name="err_adr" -->");
     return false;
  }

  if (document.commande.cgv.checked != true) {
      alert("<!--WSTAG name="err_cgv" -->");
      return false;
   }

  return true;
}
</script>

</head>

<body>
<form method="POST" action="commande_envoi.w" name="commande" Onsubmit="return ctrl_champs();">
  <!--WSTAG name="monnaie_doc" -->
  <!--WSTAG name="article_ent" -->
  <!--WSTAG name="article_sais" -->
  <!--WSTAG name="article_bas" -->
  <input type="hidden" name="refs" value="?">
  <input type="hidden" name="par-id" value="?">
  <input type="hidden" name="par-noseq" value="?">
  <input type="hidden" name="par-nosui" value="?">
  <input type="hidden" name="par-retour" value="?">
  <input type="hidden" name="lang" value="?">
			<p align="center"><!--WSTAG name="navigue" --></p>
			
  <font size="2" color="#bf0052" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular"><b> 
  </b></font>
  <!--WSTAG name="texte01" -->
  <!--WSTAG name="texte02" -->
  <!--WSTAG name="texte03" -->
  <!--WSTAG name="texte04" -->
  <!--WSTAG name="texte05" -->
  <table width="750" border="0" cellspacing="0">
    <tr> 
      <td width="350" align="right" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        <!--WSTAG name="lab_adr" -->
        : </font></td>
      <td width="10" valign="top">&nbsp;</td>
      <td width="310" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        <!--WSTAG name="lab_livr" -->
        </font></td>
    </tr>
    <tr> 
      <td width="350" align="right" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><sup><font color="#FF0000">* 
          </font></sup><!--WSTAG name="lab_civil" --> : 
          <input name="civilf" type="text" id="nomf4" size="30" maxlength="50">
          <br>
          <sup><font color="#FF0000">* </font></sup><!--WSTAG name="lab_nom" --> :
          <input name="nomfx" type="text" id="nomf3" size="30" maxlength="50">
          <br>
          <sup><font color="#FF0000">* </font></sup><!--WSTAG name="lab_adresse" --> : 
          <input name="adr1f" type="text" id="adr1f" size="30" maxlength="50">
          <br>
          <input name="adr2f" type="text" id="adr2f" size="30" maxlength="50">
          <br>
          <input name="adr3f" type="text" id="adr3f" size="30" maxlength="50">
          <br>
          <sup><font color="#FF0000">* </font></sup><!--WSTAG name="lab_local" --> 
          : 
          <input name="localf" type="text" id="localf" size="30" maxlength="50">
          <br>
          <!--WSTAG name="lab_pays" --> : 
          <input name="paysf" type="text" id="paysf" size="30" maxlength="50">
          <br>
          </font> </td>
      <td width="10" valign="top">&nbsp;</td>
      <td width="310" align="right" valign="top" class="test"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">
        <!--WSTAG name="lab_civil" -->
        : 
        <input name="civill" type="text" id="civilf3" size="30" maxlength="50">
        <br>
        <!--WSTAG name="lab_nom" -->: 
        <input name="nomlx" type="text" id="nomlx" size="30" maxlength="50">
        <br>
        <!--WSTAG name="lab_adresse" --> : 
        <input name="adr1l" type="text" id="adr1l" size="30" maxlength="50">
        <br>
        <input name="adr2l" type="text" id="adr2l" size="30" maxlength="50">
        <br>
        <input name="adr3l" type="text" id="adr3l" size="30" maxlength="50">
        <br>
        <!--WSTAG name="lab_local" --> : 
        <input name="locall" type="text" id="locall" size="30" maxlength="50">
        <br>
        <!--WSTAG name="lab_pays" --> : 
        <input name="paysl" type="text" id="paysl" size="30" maxlength="50">
        <br>
        </font></td>
    </tr>
    <tr> 
      <td width="350" align="right" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        <!--WSTAG name="lab_ref" -->
        : </font></td>
      <td width="10" valign="top">&nbsp;</td>
      <td width="310" valign="top"> <font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        <!--WSTAG name="lab_mail" -->
        : </font></td>
    </tr>
    <tr> 
      <td width="350" align="right" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        <input name="ref" type="text" size="30">
        </font></td>
      <td width="10" valign="top">&nbsp;</td>
      <td width="310" valign="top"> 
        <input name="emailx" type="text" size="40" maxlength="55"></td>
    </tr>
    <tr> 
      <td colspan="3" align="center" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        &nbsp;&nbsp;&nbsp;&nbsp;<sup><font color="#FF0000">* </font></sup><input type="checkbox" name="cgv" value="ON">
        <!--WSTAG name="lab_cgv" -->
        </font></td>
    </tr>
    <tr> 
      <td colspan="3" align="center" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        &nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" name="news" value="ON">
        <!--WSTAG name="lab_news" -->
        </font></td>
    </tr>
    
    <tr> 
      <td colspan="3" align="left" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<!--WSTAG name="lab_mess" -->
        :</font></td>
    </tr>

    <tr align="center"> 
      <td colspan="3" valign="top"> <textarea name="message" cols="80" rows="4"></textarea> 
        <font size="2" face="Verdana, Arial, Helvetica, sans-serif">&nbsp; </font></td>
    </tr>
    <tr align="center"> 
      <td colspan="3" valign="top"><font color="#FF0000" size="2" face="Verdana, Arial, Helvetica, sans-serif">*</font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
        <!--WSTAG name="lab_mobli" --></font></td>
    </tr>
  </table>
  <p align="center"><!--WSTAG name="validation" --></p>

</form>
</body>
</html>



